ALICE-GRAY LEWIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154255

License Status

ACTIVE

Business

Title

First Name

ALICE-GRAY

Last Name

LEWIS

Business Name

ALICE-GRAY LEWIS DO

Original Issue Date

09/11/2020

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

SANTA ROSA

State

Zip

95403

Ever Disciplined

LastModifiedDate

04/23/2023